The State of the Science: Dialectical Behavior Therapy.

Area of Science:

• Psychiatry
• Psychology
• Behavioral Science

Background:

• Dialectical Behavior Therapy (DBT) was first studied in a randomized clinical trial in 1991 for women with borderline personality disorder.
• Over three decades, research and interest in DBT have significantly increased among clinicians and the public.
• DBT is recognized as a "gold-standard" treatment for specific populations and behaviors.

Purpose of the Study:

• To provide a State of the Science review of Dialectical Behavior Therapy.
• To describe the treatment paradigm, conceptual, and theoretical underpinnings of DBT.
• To review existing research on DBT's efficacy across diverse populations and settings.

Main Methods:

• Systematic review of existing research on Dialectical Behavior Therapy.
• Analysis of studies investigating DBT's effectiveness in various populations and clinical settings.
• Examination of the conceptual and theoretical foundations of DBT.

Main Results:

• The vast majority of research demonstrates DBT's effectiveness in targeting specific behaviors associated with borderline personality disorder.
• DBT has established efficacy as a "gold-standard" intervention for certain patient groups.
• Significant evidence supports DBT's utility in treating individuals with borderline personality disorder.

Conclusions:

• Dialectical Behavior Therapy is a highly effective treatment for borderline personality disorder and related behaviors.
• While established as a "gold-standard," further research is crucial to refine DBT and expand its applications.
• Critical questions remain regarding DBT's efficacy, necessitating continued scientific inquiry.